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Navigable Ultrasound, 3D Ultrasound and Fusion Imaging in Neurosurgery

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Intraoperative Ultrasound (IOUS) in Neurosurgery

Abstract

Conventional two-dimensional ultrasound has limitations as an intraoperative imaging tool. Lack of a full head view and incomplete anatomical details lead to difficulties in orientation. Three-dimensional ultrasound provides volumetric information. Combination of the ultrasound (2D as well as 3D) with navigation technology results in navigated US. This technique overcomes most of the limitations of 2DUS and is a powerful tool for real-time intraoperative navigation. Multimodal fusion strategies permit coregistration of intraoperative US and preoperative MR images, extracting the maximum benefits of both. This approach can even assess and correct brain shift, though the accuracy of such correction still needs further refinement. Irrespective of the image fusion, stand-alone navigated 3DUS can often be sufficient for effective resection control of tumours. In this chapter we discuss these aspects and their clinical implications.

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Authors and Affiliations

  1. Neurosurgery Services, Department of Surgical Oncology, Tata Memorial Centre and Advanced Centre for Treatment Research and Education in Cancer (ACTREC), 1221, HBB, E Borges Road, Parel, Mumbai, 400012, India

    Aliasgar V. Moiyadi MCh

  2. Neurosurgical Department, St Olav University Hospital and Norwegian University of Science and Technology, Trondheim, Norway

    Geirmund Unsgård MD, PhD

Authors
  1. Aliasgar V. Moiyadi MCh
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  2. Geirmund Unsgård MD, PhD
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Correspondence to Aliasgar V. Moiyadi MCh .

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Editors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italy

    Francesco Prada

  2. UO Radiologia Oncologica, Humanitas Univ. and Research Hospital UO Radiologia Oncologica, Busto Arsizio, Italy

    Luigi Solbiati

  3. UO Radiologia, Ospedale Valduce, Como, Como, Italy

    Alberto Martegani

  4. Istituto Neurologico C. Besta, Fondazione IRCCS, Milano, Italy

    Francesco DiMeco

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Moiyadi, A.V., Unsgård, G. (2016). Navigable Ultrasound, 3D Ultrasound and Fusion Imaging in Neurosurgery. In: Prada, F., Solbiati, L., Martegani, A., DiMeco, F. (eds) Intraoperative Ultrasound (IOUS) in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25268-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-25268-1_11

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